Characterizing adult rehabilitation programs for solid organ transplant candidates and recipients across Canada.
Sahar Sohrabipour, Nicholas Bourgeois, Sunita Mathur and 4 others
PMID 41394317WHAT IT FOUND
Hybrid delivery is now most common among responding Canadian adult solid organ transplant rehabilitation programs, but funding and staff shortages remain top barriers.
This describes practice variation, not evidence that any model improves outcomes.
Key findings
01Among the 10 responding Canadian adult solid organ transplant rehabilitation programs, hybrid delivery was the most common current model (60%; 6/10), compared with in-person only delivery for 70% (7/10) before the pandemic and 20% (2/10) now.
02The most common barriers reported by programs were funding constraints and limited health care personnel, each cited by 70% (7/10) for in-person delivery and 80% (8/10) for telerehabilitation.
03All responding programs offered nutritional support and patient education, and 90% (9/10) offered mental health support alongside exercise training.
STILL TO COME
How it was doneWhat they found
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What it does not show
Only 10 of 17 invited programs answered, so the picture may not represent all Canadian programs. The survey listed only programs on a national website, so unlisted programs may be missing. It reports what programs do, not what happened to patients, so it cannot show whether any delivery model works. Only health care providers answered, not patients, so patient experience and outcomes are not captured.
Declared interests
The authors state financial support was received. One author received support from named professorships and chairs, another from a medical student research program, and the study was partly funded by a Canadian Institutes of Health Research planning grant.
The easy way to misread this
Do not read the shift to hybrid delivery as evidence that hybrid rehabilitation improves transplant outcomes. This survey reports what programs currently do and the barriers they face; it did not compare patient outcomes across delivery models.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →